Provider Demographics
NPI:1467187112
Name:PCFW ACQUISITION, LLC
Entity Type:Organization
Organization Name:PCFW ACQUISITION, LLC
Other - Org Name:PINNACLE CHIROPRACTIC AND FAMILY WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NATE
Authorized Official - Middle Name:
Authorized Official - Last Name:BUBAK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:308-746-3138
Mailing Address - Street 1:5505 W WALSH LN STE 100
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72758-8941
Mailing Address - Country:US
Mailing Address - Phone:479-715-6772
Mailing Address - Fax:
Practice Address - Street 1:5505 W WALSH LN STE 100
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-8941
Practice Address - Country:US
Practice Address - Phone:479-715-6772
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-18
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty